Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Hancock

Individual provider Certified Registered Nurse Anesthetist · NPI 1689118887

Holly Hancock is a Certified Registered Nurse Anesthetist (CRNA) in West Bloomfield, Michigan. Qualified in 2025, 1 year ago. Practices with Promedica Central Physicians, a 784-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
1
Licensed in
MI, OH
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 325-0636
Fax: (248) 325-0640
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2142 N Cove Blvd, Toledo, OH 43606-3895 — (419) 291-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704345820 (MI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0021344 (OH)

Record details

NPI number1689118887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2016
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Bloomfield